Insulin Dosages

Debe Pendice
By Debe Pendice Latest Reply 2018-03-08 00:19:32 -0600
Started 2009-01-02 08:23:48 -0600

How many people have a set dosage of insulin the use daily? Or does anyone have a sliding scale the take their insulin with?

50 replies

Anonymous 2018-03-08 00:15:01 -0600 Report

I'm on insulin pump for 3 years now. Also on high dose also w told I was insulin resistant. But I was told couldn't take a y injection with it. I'm on a pill with it still diabetes not under control and having complications from the pump. So dr said has to put me back on shots.

OneDeepABN 2017-11-16 22:27:35 -0600 Report

So here's my thing. I've been a type 1 juvenile diabetic since I was seven, which is 23 years, now. As of the past few years, I've been self dosaging with lantus and humalog. Been pretty simple; 20 units of lantus twice a day and a 10:1 carb ratio at meals with humalog. I recently ran out of lantus, though, and have no insurance or even a primary care giver because my fiance and I just moved to Texas. So I'm currently trying to figure out the proper dose of novalin n to take throughout the day. Lantus and humalog are my wonder mix. Along with my exercise, they keep me in the low to mid 100s.

I've been in dka twelve times since diagnosis, including when I was on the pump. The mix with best for me, but I'm afraid I'll see number thirteen before I can get the proper dosing. I know there are people here with more experience than I have, and obviously doctors who will tell me I need to seek medical help… And I have. I just need some help to last me until I can get the right insurance and find a good Dr. I've also got a pacemaker, actually my seventh one since the age of right months old, that I need to worry about, so it's hard to keep my mind focused on finding the answer to one problem at a time, if you could imagine.

Any advice for a fellow?

MommaKEB1970 2017-09-30 21:13:48 -0500 Report

WOW reading all of the replies here, it's confusing.. I was first diagnosed as a type 2 diabetic in 2009, now, I'm referred to as an insulin dependent, insulin resistant diabetic type 1. I am taking 65 units in the morning of Tresiba and 15 units of Novolog per meal. My numbers are still over 300, even my fasting. If I fast all day I can keep my numbers down where they want them to be but if I put one morsel of food in my mouth my BS levels climb and keep on climbing.. it's nothing for me to have BS numbers of 300 everyday all day even after my insulin and meals… what does that mean?

Type1Lou 2017-11-02 15:11:32 -0500 Report

This post was started 9 years ago and a lot of changes have occured during that time. Welcome to DC. I've had Type 1 for 41 years but didn't start pumping insulin until 2011 (on MDI of Lantus and NovoLog before that.) Pumping has given me tighter control and greater flexibility with less overall insulin. But, I also restrict my daily carbohydrate intake, which I believe is critical in my diabetes management. How many carb grams do you eat per day? Have you tried lowering that amount? For me, carb control has been the key to better BG readings.

skhaverkamp 2017-11-02 14:04:31 -0500 Report

I am new to this support group! I am so sorry to see how much you are struggling with your diabetes. I have no answers to your questions as mine has never been that bad. Mine is so much better since starting on some amazing plant based natural supplements. If interested would love to share with you what I am doing.

mrclean1227 2012-04-09 00:12:36 -0500 Report

Hi everyone,

I am on a sliding scale for the NovoLog Mix 70/30 Flex Pen. Now, I've been a Type 2 diabetic for a few years or longer. I was on Humalog, then also Humalin Fast-acting insulin. But it was hard for me to control my diabetes that way and very confusing going from one to the other and "knowing" which one to use and "when" to use them. Ya know? So, they finally figured out the best route to go with me was to put me on a sliding scale with the NovoLog 70/30 Mix. This way, I was pretty much in control of my insulin intake without all the confusion. Now, not everyone's body works the same, but this works for me. It's not perfect, but it does get the job done as close as you could possibly want it to.

Here's how my scale looks [Remember, this is the scale that was written for me using a NovoLog Mix 70/30 Flex Pen. This doesn't mean it will work for everyone out there. My diabetes is pretty aggressive. So please keep that in mind. Ok?]:

0 - 150 = 0 Units
151 - 200 = 2 Units
201 - 250 = 4 Units
251 - 300 = 6 Units
301 - 350 = 8 Units
351 - 400 = 10 Units…

After a blood count of 400, it is recommended that you seek medical attention. Either go to an emergency room or try to get in to see your doctor. If your blood count is that high while on an insulin sliding scale regimen, you're either NOT following your intake properly or the insulin is NOT working for you due to your dietary intake. Remember…your diet has EVERYTHING to do with your blood count.

Take into account, I start out my day with a blood reading. No matter what it reads, I take 20 units before breakfast (or whatever time I happen to wake up). After that, I set my reminder alarm on my glucose reader for every two (2) hours. I also take eighteen (18) units pre-dinner. I have learned that this is the BEST way to track and control "my" aggressive diabetes. You might not have the luxury to check your blood every two hours, so follow the chart as best as you can. That should at least keep you on track. Don't forget to either write down your readings or make sure you've saved them in your glucose reader's memory. Readers have become pretty advanced lately. Mine allows me to make notes along with my reading. This allows me to know what went on when I took that particular reading. I use a Bayer Contour USB glucose reader which allows me to plug it in to my laptop's USB port and actually chart my findings and lets me track my progress or my failings. You can have multiple persons on the charting as well.

Anyway, That's my input on this matter. I hope it was helpful. Please feel free to comment or reply on this. I am always open-minded to new techniques that help make it a little easier to deal with.

Good luck everybody and just hang in there.

TamiR 2012-04-17 14:37:36 -0500 Report

sorry for what you are going through. I just take a couple of pills a day. I'm confues on all this diabies stuff. Never know what I can eat and what I can't. What will it do to you if you eat what every you want. I'm glad for you that you have things under control. Good luck.

tira 2009-02-26 06:48:16 -0600 Report

b/f = 10unit ACTRAPID + 6 unit insulatard
lunch = 10unit actrapid
dinner = 10unit actrapid
supper = 8unit insulatrd

4everteaching 2009-01-18 17:07:38 -0600 Report

I'm currently using the pump using Novalog. I take an average of 40+ units in a 24 hour period. Before the pump, I was using Lantus 2x a day and injecting Humalog 8 to 12x a day. I felt like a pin cushion. Now, I only stick myself for the pump site changes and to insert the CGM sensor. Sure beats the other.

Yelper K
Yelper K 2014-06-12 14:24:14 -0500 Report

Interesting! My sister has been telling me about the pump and I've been resisting the idea. That said, I haven;t been able to get my glucose levels under control with the Metformin, Lantus 2x a day, and the sliding scale injections of Novolog flex pen. I have a definite hatred of needles, and this isn't making it any better! Maybe I'll actually look into the pump now…

svengali35 2009-01-26 00:59:03 -0600 Report

you make the pump sound very appealing. I feel like a pin cushion now.. I think Ill have my Dr. explore the options.

MeiMei 2009-01-13 14:02:21 -0600 Report

I am a type I due to autoimmune disease. I take 20 units of Lantus at bedtime and have a sliding scale of Novalog during the day which I don't always have to use. I was just diagnosed a year ago so things may change. Hope not.

firefightermom 2009-01-08 19:14:00 -0600 Report

we use a sliding scale with Novolog insulin.We count how many carbs my daughter will have then she gets 1 unit insulin for every 15 carbs(right now,that changes every now and then)and if her blood sugar is over 200 she gets one extra unit for that(example-if blood sugar is 250 and food carb count is 60 she would have 1 and half for correcting the 250 and 4 units for the food coverages which would be 5and a half units)hope that helps! see ya later.

Melissa Dawn
Melissa Dawn 2009-01-06 08:28:01 -0600 Report

I'm on an insulin pump, which gives me more freedom than the syringes do. I have set basals (6 different ones throughout the day) and then use a sliding scale for my food.

Ginlea 2009-01-06 06:34:41 -0600 Report

My daughter is a type 1 and she is on a sliding scale.She was diagnosed 4 months ago and we are always changing her ratio and correction.When we get the numbers right they are good for two weeks and then they go bad then its time to change again.Her insulin is based on her carbs and BG number.

Avera 2009-01-05 23:55:43 -0600 Report

I'm Type 2. Along with my oral meds I use insulin twice per day. I am on the Levemir Pen. I do 25 units in the morning and 28 units in the evening.

Deb54 2009-01-06 02:03:34 -0600 Report

I don't know if any of you have tried it but Starlix is really good. It's an oral med that's taken one to thirty minutes before a meal. It helped me out a lot. Deb

Shannan - 28610
Shannan - 28610 2009-01-05 21:07:29 -0600 Report

i'm on Novolin 70/30. i was prescribed 20 units in the am and 30 units in the pm but during the afternoon my glucose level goes up to 200-400, sometimes higher so i take more insulin. i generally take whatever amounts i think i need to keep me as low as i can. also, i only weigh 110 lbs so i'm pretty sensitive to any amount as well as foods.

Debe Pendice
Debe Pendice 2009-01-05 21:19:00 -0600 Report

Unless your MD put you on a sliding scale, you may be playing with fire. You can't take insulin like that. I hope you are not just like giving a dose you feel you need. Please I hope you have an endocrinologist. You need to get these BS under control. I feel they are very high. I worry about you and hope to hear back and BS are better…

daniel velazco
daniel velazco 2009-01-05 21:59:10 -0600 Report

I am on Humilin 70/30 on a sliding scale.
I take my insulin in the AM & PM, I was
on humalog with meals 20 units and lantus
at bedtime 50 units. Humalog and Lantus never worked for me, my numbers were way out of control. Now they are much better,
his AM BG was 112. So they are getting better.

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-01-05 22:23:52 -0600 Report

Shannon, welcome to the site. Sounds as though you're having some control problems. Are you on the Novolog only, or are you taking any other meds for your diabetes? As Debe said, your doctor should have you using the insulin on a sliding scale (based on how high your reading is at the time). If mine is 150+ 2 hrs. prior to eating, for instance, I consult the scale and see how much I need to take. But I also take oral medication. In any event, your readings are frightfully high. Very damaging to you body. Hope you and your doctor will stay on top of this and try to get you better regulated. Good luck!

daniel velazco
daniel velazco 2009-01-05 22:28:35 -0600 Report

Hi Debe,
Sorry I missed the ( t ). Your right ladydi.

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-01-05 22:33:31 -0600 Report

I don't know about you,but I seem to do that a lot (omit letters) on this site. I'm constantly going back and editing to make corrections. My mind works faster than my fingers sometimes. Just thankful it still works at all (LOL)!

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-01-06 16:19:47 -0600 Report

Shannon, I'd be interested in knowing if you contacted your doctor last night or went to the ER, since you were experiencing such high BS levels. How have you been today? Several of us were very worried about you last night, so please let us know you're okay. Hopefully you were able to reach your doctor and get some help/answers.

Shannan - 28610
Shannan - 28610 2009-01-05 21:03:32 -0600 Report

i take 25 units sometimes, 10 other times, 30 maybe - it just depends on what my glucose level is. i've gotten pretty good about choosing the right amount lately.

tingem 2009-01-04 13:40:02 -0600 Report

Thank all who quickly became my friends and to Barry E for introducing me to this site.
As for insulin…I am on a sliding scale for Novilog three times a day and Lantus, 90 units before bed. My orders were to start out at 26 (I think) and add 3 units three days after until my morning reading stayed under 200 for a week. Never happened, so I am now up to 90. Not sure what he will do once I reach 100 units. My sugar is out of control. I have many other problems which interfer with my control. Pain and stress affects my readings and I am in daily pain. I am considering a pump…any opinions on pumps?

Anonymous 2009-01-04 17:29:52 -0600 Report

When I was taking Lantus, I was up to 200 units at night and I gained alot of weight. My new doctor took me off of it and switched to Novolog 70/30 20 units in the morning and 30 at night. Have done alot better than on the Lantus. Still fat but control is better. LOL

BarryE 2009-01-03 08:56:28 -0600 Report

Right now my dosing schedule is 26 units of Lantus at night, and I use Novolog as my bolus. With the Novolog I use 8 units at breakfast, 5 units at lunch, and 10 units for dinner. Just like Petrea, my doctor changes this dosing based on my blood sugar levels. Unfortunately from the insulin and the way I eat at irregular times, I have gained 36 lbs since I was diagnosed in May 2008. Right now I'm 188 lbs and my doctor wants me to lose at least 5 lbs before my next visit on the 13th of this month.

Petrea 2009-01-03 01:56:42 -0600 Report

I am on Humulin N 30 units in morning and 60-62 units at night. The dr. changes this every now and then according to my bs.

2catty 2009-01-02 15:14:10 -0600 Report

I have to take 80 units of Lantus in the morn. and 80 at night. I also have to take 10mcg of Byetta morn. and night. Then through the day I am on a sliding scale of novolog R. The minus 100 divided by 20 thing. I feel like I am always injecting. I am a human pin cushion.

tingem 2009-01-04 13:44:59 -0600 Report

I thought Lantus was a 24 hour insulin. Does it make a big difference taking it X2 a day> I was told only at night.

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-01-04 14:33:29 -0600 Report

I was told to take mine only at night as well. I also thought it was long lasting, unlike Novolog, etc.

Debe Pendice
Debe Pendice 2009-01-04 14:57:41 -0600 Report

Me to when I use to take it. They told me it eas a long acting insulin and only used at night time. But maybe things have changed since I used this, it has been over 2 years ago…Debe

2catty 2009-01-04 17:40:02 -0600 Report

After you take over a hundred units you have to split the dose. Also some Dr.s prefer you to split it up even if it's just 15 in the morn and 30 at night. I take 160 units so I have to split mine to 80 in morn and 80 at night. Still doesn't do much for me either.

Wrecklessone 2009-01-18 18:21:10 -0600 Report

I take 98 units of novolyn 70/30 in the morning and 84 units at night with a sliding scale regular insulin at lunchtime. I also take metformin 2 at night and 1 in the morning for 750mg. It works okay for me but I did gain about 20 pounds before I got everythig under control.

Sparrow - 16557
Sparrow - 16557 2009-01-02 14:51:44 -0600 Report

Hi Debe,

Actually, I'm on the pump. I've actually become "insulin resistant" over the past couple of years, so I take MASSIVE amounts of insulin (3.9u/hr to 5u/hr) as well as injections of Symlin, which helps the insulin's performance.

Debe Pendice
Debe Pendice 2009-01-02 15:42:01 -0600 Report

I am getting ready for the pump. I am getting all my BS for the month together and we are going from there. I am getting I guess its the Aminous(PING) I haven't been taught anything yet. I get my next A1C on Tuesday and we have to wait and see. I have talk to the company several times. This is the only way my insurance will let me get this…

Sparrow - 16557
Sparrow - 16557 2009-01-04 18:23:55 -0600 Report


I think you'll love it! I know I do. If nothing else, it let's you feel like you're in control of the diabetes, not the other way around.

The Animas is very similar to the one I use, the Cozmore. It just gives me so much more control and yet also a lot of freedom.

Go for it!!

Hope you're A1c is good.

Debe Pendice
Debe Pendice 2009-01-04 18:29:00 -0600 Report

My A1C has been good for a long while. I thought when I got they would get it and they I go I on the pump. No way my insurance would pay until I seen a nurse educator, a dietition fro car counting and kept a month of BS checked 8 times a day and even getting up at 3AM for a reading? Does everyone go through this ? Or is it what did insurance companys do?…Debe

Sparrow - 16557
Sparrow - 16557 2009-01-05 20:03:25 -0600 Report

It sounds more like your insurance company's requirements.

The multiple testings are a reasonable request. There's actually a diabetic program to help gain the "best" control by testing 12 times a day at least for the first two months. I can't remember the name of the program, but it's supposed to be pretty good.

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-01-02 11:34:00 -0600 Report

For the past year I have been using Lantus SoloSTAR pen - presently 22 units in the evening. In the past month or so I've been given Novolog to use as needed, based on the scale provided. So far have only used a couple of times (during holidays). It's nice to have, but as long as I eat right I don't seem to need it.

Anonymous 2009-01-02 09:46:21 -0600 Report

I take Novolog 70/30 and I am on 20 units in the morning and 20 units at night. Plus I take 2 diabetes pills.